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JACKIE LI MD
NPI 1740930007
Student in an Organized Health Care Education/Training Program in Columbus, OH

Active since March 28, 2022PECOS Enrolled
3595 OLENTANGY RIVER RD, COLUMBUS, OH 43214(614) 566-5456(614) 566-6902 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jackie Li Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKIE LI MD (NPI 1740930007) is an individual student in an organized health care education/training program in Columbus, Ohio and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740930007
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJACKIE LICredential: MD
Location Address3595 OLENTANGY RIVER RDColumbus, OH 43214-3440
Mailing Address3595 Olentangy River RdColumbus, OH 43214-3440 · (614) 566-5456 · Fax (614) 566-6902
Phone(614) 566-5456
Fax(614) 566-6902
Sole ProprietorNo
Enumeration DateMarch 28, 2022
NPPES CertifiedMarch 28, 2022
✔ NPI 1740930007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3595 OLENTANGY RIVER RD, Columbus, OH 43214
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackie Li Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUDREY LOUISE FREEDMAN DO
Student in an Organized Health Care Education/Training Program
3595 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Franklin County (614) 566-5456
MACKENZIE NORTH DO
Student in an Organized Health Care Education/Training Program
3595 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Franklin County (614) 566-5456
DR. SAIF HAWARI MB. BCH.
Student in an Organized Health Care Education/Training Program
3595 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Franklin County (614) 566-5456
MRS. TERESA MARIE GEORGE MD
Internal Medicine
3595 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Franklin County (614) 566-5456
SCOTT ROBERT MCLEMORE DO
Internal Medicine
3595 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Franklin County (614) 566-5456
SARAH AL-HARASIS MD
Student in an Organized Health Care Education/Training Program
3595 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Franklin County (614) 566-5456
ASHLEY MARIAH GARVIN DO
Dermatology
3595 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Franklin County (614) 566-5456
ELIJAH RAYN FARRALES MD
Student in an Organized Health Care Education/Training Program
3595 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Franklin County (614) 566-5456

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackie Li's NPI number?

The NPI number for Jackie Li is 1740930007. It was assigned to this individual provider in the NPPES registry on March 28, 2022.

Where is Jackie Li located?

Jackie Li practices at 3595 Olentangy River Rd, Columbus, OH 43214. The listed phone number is (614) 566-5456.

What is Jackie Li's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jackie Li enrolled in Medicare?

Yes. Jackie Li is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jackie Li was last updated on March 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.